Brothers, Sheila C From: Grzegorz Wasilkowski [[email protected]] Sent: Wednesday, February 19, 2014 11:27 AM To: Blonder, Lee Cc: Brothers, Sheila C; Grzegorz Wasilkowski Subject: urology department This is a recommendation from the Senate Advisory Organization and Structure Committee that the University Senate endorse the establishment of the Department of Urology in the College of Medicine. G. W. Wasilkowski =================================================================== Grzegorz (Greg) W. Wasilkowski [email protected] Department of Computer Science http://www.cs.uky.edu/~greg/ 301 Davis Marksbury Building office: 859‐257‐8029 University of Kentucky department: 859‐257‐3961 Lexington, KY 40506‐0633 fax: 859‐257‐1505 =================================================================== 1 John A. D’Orazio, M.D., Ph.D. Associate Professor of Pediatrics Drury Pediatric Research Endowed Chair University of Kentucky College of Medicine May 22, 2013 Dr. Stephen Strup, Chief of Urology, College of Medicine Re: Creation of a Department of Urology Dear Dr. Strup, The UK College of Medicine Faculty Council thanks you for bringing the issue of the creation of a Department of Urology to us and for your participation in yesterday’s meeting. We have considered the merits of the proposal and have voted unanimously to endorse the formation of a Department of Urology within the College of Medicine. Approval was contingent on reorganizing the application to conform to University Senate standards, to facilitate its flow at the University level. Thank you for the opportunity to be involved in the development of this important aspect of our educational mission. Sincerely, John D’Orazio, M.D.,Ph.D. College of Medicine Faculty Council Chair, 2012-13 Cc: Dr. Fred de Beer, Dean of the College of Medicine 800 ROSE STREET, COMBS 204 • LEXINGTON, KENTUCKY 40506-0096 • (859) 323-6238 • LAB: (859) 323-5990 • E-MAIL: [email protected] ProposalfortheCreationoftheDepartmentofUrology StephenE.Strup,M.D. October2012 HistoricalBackgroundoftheDivisionofUrology TheFoundationoftheDivisionofUrologywaslaidbyDr.EdwardH.Ray.Dr.Raywas synonymouswithUrologyinLexington,Kentucky,havingbuiltalargepracticeintown.Hewasoneof theleadersinthemovementtoestablishtheUniversityofKentucky,SchoolofMedicinewhichopened itsdoorsin1960.Dr.RayalsowasthedirectorofaUrologyResidencyprogramatSt.Joseph’sHospital. WiththeopeningoftheMedicalSchool,Dr.RaywasnamedtheChiefoftheDivisionofUrology,a positionhehelduntil1969.From1969through1972,therewereaseriesofChiefsthatheld,orwereto holdthetitlebriefly.Dr.KennethWalton,Dr.JohnSimmons,andthenDr.ArthurHellebusch.Dr.J. WilliamMcRobertswasnamedtheChiefofUrologyin1972andbegantheworkofbuildingaUrology Divisionandresidency.Fromhisarrivalin1972,Dr.McRobertswouldserveastheDivisionChiefin Urologyfor25years.WhilehisspecialitywasinPediatricUrology,hepracticedtheentirerangeof Urology.Hetrainedroughly50residentswhowentontopracticeinbothacademicandprivate practice.Dr.McRoberts’protégésincluded4futureUrologyChairs(Dr.AnthonyCasale,Dr.James Mohler,Dr.LeonardGomella,andDr.InderbirGill).Dr.McRobertsalsohelpedlaytheacademic foundationofseveralfacultymemberswhoinitiatedtheircareersattheUniversityofKentucky.The DivisionofUrologyremainedasmalldivision,however,andespeciallythroughthemid1990’s,faculty turnoverwasfairlybrisk.Thefacultycomplementgenerallyrangedfrom35membersandalsohadthe helpofthecommunityUrologypracticeforcasevolume. In1997,Dr.RandallRowlandassumedtheleadershipoftheDivision.Dr.Rowlandarrivedfrom theIndianaUniversitywherehehaddevelopedasuccessfulcareerinUrologicOncology.Dr.Rowland servedasDivisionChieffor10yearsbeforeassumingthepositionasPresidentandCEOoftheMarkey CancerFoundationin2007.Dr.StephenStrupthenassumedthepositionofChief,DivisionofUrology, intheDepartmentofSurgeryattheUniversityofKentucky.Thefulltimefacultymembershavegrown to8membersand2additionalmembersareemployedfulltimeattheLexingtonVAhospitalbut contributetotheDivisionclinicallyandeducationally. UniversityofKentuckyDepartmentofSurgeryEvolution TheDepartmentofSurgerywasfoundedin1960withtheformationoftheUniversityof KentuckyMedicalSchool.TheDepartmenthousedallofthevarioussurgicaldisciplineswiththe exceptionofOB/GYN.Atthistime,thiswasthenorm.However,overthelast20years,mostacademic centershavemovedawayfromthismodel.Medicinehadchangedandthesubspecialtypracticesof Orthopedics,Neurosurgery,Otolaryngology,andUrologyhavegrownawayfromtheirgeneralsurgery colleagues.Themovementbegantowardtheestablishmentofindependentdepartmentsforthe disciplinesofOrthopedics,Neurosurgery,Otolaryngology,andUrology.TheUniversityofKentuckyhas beennoexception,buttheprocessstartedmuchlaterhere.Thedelayedfragmentationofthe DepartmentofSurgerywasatestamenttothequalityofitsleadersandthegenerallyhighdegreeof autonomyaffordedthesurgicalsubspecialties.However,withthemajorityofinstitutionsmovingaway fromlargegeneralsurgerydepartments,thisprocesscametotheUniversityofKentucky.In2004,the DepartmentofOrthopedicswasformed,followedbytheDepartmentofNeurosurgeryin2006. Followingthesetwoinitialnewdepartments,theDepartmentofOtolaryngologywasformedin2011. RationalefortheestablishmentofaDepartmentofUrology Withthedepartureofthesesubspecialties,theDepartmentofGeneralSurgeryhasremained strong.Theessenceofthisstrengthisacommonpurposeofpracticeandeducationamongthemore traditionaldisciplinesofGeneralSurgery.ThesurgicalsubspecialtyofUrologyisperhapsacloser relativethanOrthopedicsorNeurosurgery,but,morelikeOtolaryngology,Urologyhasgrownaway fromgeneralsurgeryandthusthetrendnationallyistohaveUrologyasanindependentDepartment. Approximately70%ofallteachingprograms(includingcommunitybasedprograms)inUrologyarenow Departments.ManyoftherecentUrologyDivisiontoUrologyDepartmentconversionsintheUnited Stateshaveoccurredafterlong,unsuccessfulattempttofindanewDivisionChief.Highquality programssuchasYale,UniversityofAlabamaBirmingham,andUniversityofArkansasaresuch examples.Closertohome,theUniversityofLouisvilleisanexampleofaprogramthaterodedand ultimatelyfailedasnoDivisionleadercouldberetained.Theteachingprogramwaslostandonly recentlyreinstatedafterestablishingtheDepartmentofUrologyatLouisville.Whetherthedifferences betweenDivisionalandDepartmentalstructureandfunctionaresubstantialornot,thenationaltrend andpreferenceistobeanindependentDepartmentofUrology. NationalrecognitionalsoseemstofavorDepartmentsofUrology.Allofthetop10USNewsand WorldReporttopUrologyprogramsareDepartmentsand18outofthetop20aredepartments.There arefewdivisionsinthetop50programs.Whilethisisn’tthe“goldstandard”measurementofsuccess, itdoesreflectontheabilityofUrologyDepartmentstoachievesuccess.TheDepartmentaltagdoesnot guaranteesuccess,butitdoesallowprogrammaticgrowth,subspecializationandfocustoallowsuccess tofollow. RecentrecruitmenteffortstotheDivisionofUrologyattheUniversityofKentuckyhavebeen successful,buttheelementofDepartmentalstatushasbeenanissueforallofourrecentrecruits.The movementtowardtheestablishmentofothersurgicalsubspecialtyDepartmentswashelpfulinlanding theserecruits.Currentrecruitmenteffortstocontinuegrowthandreplacementofretiringfacultyare underwayandamajorfocusoftherecruitsinquiriesareaboutdepartmentalstatusandfutureplansfor movinginthatdirection.FacultyperceivelimitationsintheirpotentialcareersiftheirChairisnotwithin theirdisciplineofUrology.WehavebeenfortunatetohaveanoutstandingcurrentsurgeryChairthat allowsahighdegreeofautonomyforourUrologyDivision,butthefacultyandrecruitsknowthatthis situationisapromotionorretirementfrompotentialchange. Thespecialtyofurologyremainsaheavilyofficebasedpracticewithalargepercentageof outpatientsurgery.Thus,theverynatureofourpracticeisverydifferentfromamajorityofthegeneral surgerydivisions.UrologyasadisciplinehasalsosubspecializedandmostsuccessfulDepartmentsof UrologyhavedevelopeddivisionsofOncology,femaleurology,endourology,andpediatricurology. Accomplishingthisgrowthanddifferentiationasadivisionisdifficultaswecompetewithotherdivisions forresources.Whilewemayneedareconstructiveurologist,theDepartmentofSurgerymayneeda traumasurgeonmore.Programmaticgrowthinthissettingisdifficulttoplanandexecute. Urologyresidenteducationhasalsomigratedawayfromgeneralsurgery.Mostprogramshave goneawayfroma2yeargeneralsurgerytraining/4yearurologytrainingformatto1yearofgeneral andsurgicalsubspecialty/4yearsofUrologytraining.Ourfirstyearresidentswerepreviously incorporatedwiththecategoricalsurgeryresidentswithrespecttotheirfirstyeareducationalformat. ThecategoricalsurgeryresidentsalsorotatedontheUrologyservice.Thistoohaschanged.The currentfirstyearresidentsmustreceivethreemonthsofgeneralsurgicaltrainingbutnolongerarepart ofthecategoricalresidentrotations.CategoricalsurgeryresidentsalsonolongerrotateontheUrology service. Challengesandthefuture OurDivisionofUrologyhasbeenfortunatetoretainmostofourfacultyoverthelast5years. WehaveastablecoreoffacultywithexpertiseinthevarioussubspecialtyareasofUrology.Ourcurrent facultymembersinclude: FacultyMember AcademicRank YearsatUK Subspecialityarea Additionalinfo StephenStrup,M.D Professor 9 Urologiconcology DivisionChief ProgramDirector RandallRowland,M.D. Professor 15 Urologiconcology RetiringJan.2013 DeborahEricksonM.D. Professor 8 FemaleUrology Ramikrishna AssociateProfessor 4 Endourology Fellowshipdirector Venkatesh,M.D. PaulCrispen,M.D. AssistantProfessor 3 UrologicOncology KatieBallert,M.D. AssistantProfessor 3 FemaleUrology AliZiada,M.D. AssistantProfessor 2 PediatricUrology JasonBylund,M.D. AssistantProfessor 1 Endourology DavidPreston,M.D AssistantProfessor 4 GeneralUrology VAChiefofUrology JonDemos,M.D. AssistantProfessor